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ICD-10-PCS 2027 procedure code

B5191ZAFluoroscopy of Inferior Vena Cava using Low Osmolar Contrast, Guidance

✓ Valid for 2027

Short description: Fluoroscopy of Inf Vena Cava using L Osm Contrast, Guidance

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About B5191ZA

B5191ZA is the ICD-10-PCS code for a fluoroscopy procedure on the inferior vena cava using a low osmolar approach with none (qualifier: guidance). In ICD-10-PCS, fluoroscopy means single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent screen. The image may also be stored by either digital or analog means.

In plain terms, this corresponds to angiocardiography of venae cavae, the ICD-9-CM procedure title it maps to (88.51).

For a different body part, codes include B5101ZA (epidural veins), B5111ZA (cerebral and cerebellar veins), B5121ZA (intracranial sinuses), B5131ZA (right jugular veins), B5141ZA (left jugular veins), B5151ZA (bilateral jugular veins) and 21 more.

The same procedure with a different approach is coded B5190ZA (high osmolar), B519YZA (other contrast) and B519ZZA (none).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
BImaging
2. Body System
5Veins
3. Type
1Fluoroscopy

Single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent screen. The image may also be stored by either digital or analog means

4. Body Part
9Inferior Vena Cava
5. Contrast
1Low Osmolar
6. Qualifier
ZNone
7. Qualifier
AGuidance

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 88.51Angiocardiography of venae cavaeapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about B5191ZA

Is B5191ZA a valid ICD-10-PCS code for 2027?

Yes. B5191ZA is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for B5191ZA?

The CMS GEMs map B5191ZA to ICD-9-CM 88.51 (Angiocardiography of venae cavae).